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. 2020 Apr 6;15(2):201–209. doi: 10.18502/jovr.v15i2.6738

Table 1.

The 2016 revised ACR criteria for the diagnosis of GCA a


Score Entry
N/A Age at onset 50 years
Absence of exclusion criteria b
Domain I
1 New-onset localized headache, c 1 point (p)
1 Sudden onset of visual disturbance, c 1 point
2 Polymyalgia rheumatica, 2 points
1 Jaw claudication, c 1 point
2 Abnormal temporal artery, d up to 2 points
Domain II
1 Unexplained fever and/or anemia, 1 point
1 ESR 50 mm/hour, e 1 point
2 Compatible pathology, f up to 2 points
ACR, American College of Rheumatology; ESR, erythrocyte sedimentation rate; GCA, giant cell arteritis; N/A, not applicable a In the presence of three points or more out of the eleven with at least one point belonging to domain I along with all entry criteria, a diagnosis of GCA can be established. b The exclusion criteria included ear, nose, and throat or/and eye inflammation; kidney, skin, or peripheral nervous system involvement; lung infiltration; lymphadenopathies; stiff neck; and digital gangrene or ulceration. c No other etiologies can better explain any one of the criteria. d Enlarged and/or pulseless temporal artery (one point)/tender temporal artery (one point). e It must be ignored in the presence of polymyalgia rheumatica. f Vascular and/or perivascular fibrinoid necrosis along with leucocyte infiltration (one point) and granuloma (one point).